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阈下微脉冲激光治疗息肉样脉络膜血管病变视网膜下液1例

A case of treating polypoidal choroidal vasculopathy subretinal fluid by subthreshold micropulse laser.

作者信息

Jafar Sarmad Mustafa, Hussein Zaid Rajab, Yasir Muthanna Basheer

机构信息

Jenna Ophthalmic Center, Baghdad, Iraq.

Iraqi Ministry of Health, Ibn Al Haitham Teaching Eye Hospital, Baghdad, Iraq.

出版信息

Am J Ophthalmol Case Rep. 2024 Nov 26;36:102225. doi: 10.1016/j.ajoc.2024.102225. eCollection 2024 Dec.

DOI:10.1016/j.ajoc.2024.102225
PMID:39691633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11650130/
Abstract

PURPOSE

Assess the effectiveness of a subthreshold micropulse laser for treating a patient with polypoidal choroidal vasculopathy and subretinal fluid.

OBSERVATIONS

A 55-year-old female presented with left eye blurring vision and metamorphopsia, and her visual acuity was 20/60. Optical coherence tomography (OCT) and OCT angiography showed subretinal fluid and pigmented epithelium detachment with a small polyp under the retinal pigmented epithelium, which was diagnosed as polypoidal choroidal vasculopathy. She was treated with a subthreshold micropulse (577nm) laser and showed a dramatic response within 12 weeks with the disappearance of subretinal fluid and visual acuity improving to 20/25.

CONCLUSION AND IMPORTANCE

A subthreshold micropulse laser might be an effective and safe option for treating patients with polypoidal choroidal vasculopathy and subretinal fluid.

摘要

目的

评估阈下微脉冲激光治疗息肉样脉络膜血管病变伴视网膜下液患者的有效性。

观察结果

一名55岁女性因左眼视力模糊和视物变形就诊，视力为20/60。光学相干断层扫描（OCT）和OCT血管造影显示视网膜下液和色素上皮脱离，视网膜色素上皮下有一个小息肉，诊断为息肉样脉络膜血管病变。她接受了阈下微脉冲（577nm）激光治疗，12周内出现显著反应，视网膜下液消失，视力提高到20/25。

结论及重要性

阈下微脉冲激光可能是治疗息肉样脉络膜血管病变伴视网膜下液患者的一种有效且安全的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cdf/11650130/afd18c6fc7a8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cdf/11650130/e13c9526ecff/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cdf/11650130/14acaee8b9fa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cdf/11650130/7dbdddeab420/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cdf/11650130/749db7e534a2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cdf/11650130/afd18c6fc7a8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cdf/11650130/e13c9526ecff/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cdf/11650130/14acaee8b9fa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cdf/11650130/7dbdddeab420/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cdf/11650130/749db7e534a2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cdf/11650130/afd18c6fc7a8/gr5.jpg

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Structural Integrity of Individual Cone Photoreceptors After Short-Wavelength Subthreshold Micropulse Laser Therapy for Diabetic Macular Edema.短波长阈下微脉冲激光治疗糖尿病性黄斑水肿后单个视锥光感受器的结构完整性
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CHANGES OF AQUEOUS HUMOR MÜLLER CELLS' BIOMARKERS IN HUMAN PATIENTS AFFECTED BY DIABETIC MACULAR EDEMA AFTER SUBTHRESHOLD MICROPULSE LASER TREATMENT.经阈下微脉冲激光治疗后，糖尿病性黄斑水肿患者房水Müller 细胞生物标志物的变化。
Retina. 2020 Jan;40(1):126-134. doi: 10.1097/IAE.0000000000002356.
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BMC Ophthalmol. 2016 Jul 27;16:127. doi: 10.1186/s12886-016-0305-2.
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